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A case of human pancreatic eurytremiasis

  • Hiroshi OgawaEmail author
  • Yasuo Takehara
  • Shinji Naganawa
  • Junpei Yamaguchi
  • Masato Nakaguro
Special Section: Distinguished Papers from JSAR

Abstract

This study provides the first comprehensive imaging report of human pancreatic eurytremiasis. A 43-year-old man with obstructive jaundice and a pancreatic tumor was referred for diagnosis and treatment. Serum aspartate aminotransferase, alanine aminotransferase, and gamma-glutamyl transpeptidase were elevated. Computed tomography (CT) revealed a multilocular cystic lesion with delayed enhanced area in the pancreas head. On magnetic resonance imaging, the tumor was hyperintense on diffusion-weighted image, and the apparent diffusion coefficient value of the tumor was lower than that of the normal pancreatic parenchyma. Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro-d-glucose integrated with computed tomography (18F-FDG PET/CT) revealed abnormally increased uptake of 18F-FDG in the tumor. A subtotal stomach-preserving pancreaticoduodenectomy was performed on the preoperative diagnosis of pancreatic carcinoma accompanied by branch duct-type intraductal papillary mucinous neoplasm. Multifocal granulomatous lesions with necrotic areas including many parasite eggs were seen on the histology. The final diagnosis was pancreatic eurytremiasis.

Keywords

Human eurytremiasis Eurytrema pancreaticum Pancreatic fluke Pancreatic parasite infection 

Notes

Compliance with ethical standards

Conflict of interest

Yasuo Takehara is an endowed chair of the department supported by a private company.

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of RadiologyNagoya University Graduate School of MedicineNagoyaJapan
  2. 2.Division of Surgical Oncology, Department of SurgeryNagoya University Graduate School of MedicineNagoyaJapan
  3. 3.Department of Pathology and Laboratory MedicineNagoya University HospitalNagoyaJapan

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